NATASHA NICOLE YOUNGBLOOD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

INACTIVE

Business

First Name

NATASHA

Middle

NICOLE

Last Name

YOUNGBLOOD

Business Name

NATASHA NICOLE YOUNGBLOOD

Original Issue Date

01/24/2014

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/07/2020